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<p class="MsoNormal" align="center" style="text-align:center"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0up0wplrbkPADypL-9d6ZB-TlK2zN8b1p3MsQoh3uPpLKfkGRcPtj8Ris1nbw86BnbpQ7eti_IsdHfaqqAPRLjYPhn4D36VS4PoytTzwnCWA&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw=="><span style="text-decoration:none"><img border="0" width="580" height="197" style="width:6.0416in;height:2.0486in" id="_x0000_i1037" src="https://files.constantcontact.com/4cd26bd1101/a45f6114-ff04-495e-952f-ba3758ef13f8.png?rdr=true"></span></a><o:p></o:p></p>
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<p><b><span style="font-size:13.5pt;font-family:"Segoe UI",sans-serif;color:#403F42">August 2023 Edition</span></b><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
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<p align="center" style="text-align:center"><span style="font-size:21.0pt;font-family:"Arial",sans-serif;color:white"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0v6tcKnxFpHFFKN4d3fhqJKjLXn_4GqEjK6yBV19Yw-t9GoSyh6U8R1j8sBP9rn2nl0KfKGvUt4fU63kf0qynyvSfWrOe1U0X-_ht5hW48s-ybM_Rbg3O1WeFhEpgpwmpw==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><b><span style="font-size:27.0pt;color:#48A199;text-decoration:none">August
 is National Breastfeeding Month</span></b></a><o:p></o:p></span></p>
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<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0vB38jsKzdLltdJvw3PD8zmZrVVP9JmDeDNehoZSZK2fK80fKfI-w_r-IaQUiqP9-uYtIiIhCL-TU11dGRoN1evWkyoeHMzGMIbVqNICBK-3sTWToGz5w2npNzla0YVCxN0_2n27x1qnMnk6s5VdFbuVGm3TlnoOYg==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><b><span style="font-size:18.0pt;font-family:"Segoe UI",sans-serif;color:#C42128;text-decoration:none">Join
 the Maternal and Child Health ECHO</span></b></a><o:p></o:p></span></p>
<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p> </o:p></span></p>
<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0vB38jsKzdLltdJvw3PD8zmZrVVP9JmDeDNehoZSZK2fK80fKfI-w_r-IaQUiqP9-uYtIiIhCL-TU11dGRoN1evWkyoeHMzGMIbVqNICBK-3sTWToGz5w2npNzla0YVCxN0_2n27x1qnMnk6s5VdFbuVGm3TlnoOYg==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><b><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#368A9C">Sign
 up></span></b></a></span><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#0E101A"> to join the Maternal & Child Health ECHO program, held on the l<b>ast Thursday of the month @ 12pm PT.
</b>this month's Grand Rounds session </span><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#141827">on <b>August 15 @ 12pm PT.
</b>The program seeks to e</span><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#414040">nsure the wellness of mothers and children by making sure clinicians have every resource available to them to improve patient outcomes.</span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0vB38jsKzdLltdJvw3PD8zmZrVVP9JmDeDNehoZSZK2fK80fKfI-w_r-IaQUiqP9-uYtIiIhCL-TU11dGRoN1evWkyoeHMzGMIbVqNICBK-3sTWToGz5w2npNzla0YVCxN0_2n27x1qnMnk6s5VdFbuVGm3TlnoOYg==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw=="><span style="text-decoration:none"><img border="0" width="279" height="283" style="width:2.9097in;height:2.9513in" id="_x0000_i1035" src="https://files.constantcontact.com/4cd26bd1101/eacf27ab-2c9c-4a81-aaeb-a850cc50ff27.png?rdr=true"></span></a><o:p></o:p></p>
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<p class="MsoNormal" align="center" style="text-align:center"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0pyrfIIvHjKEpXEC4zMyD3ZvBIKrsf8SSV2BYEv7ST_p8325GiyucnMu2pHjsBUhYwJwKPFZBGaGF2TKMFUgC-9wT4hYdDrIi5MZ7XPALguGkBdSF7Arq1tWS97n4v6UPfHn1iTUmV2YNN1ZRFCjp7vr3u7GIJlTn4xk4vu5ocgu_l1Al_FFR54V-4wh9V-q4S2k63F5axykaRsvreUFtbY=&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw=="><span style="text-decoration:none"><img border="0" width="280" height="280" style="width:2.9166in;height:2.9166in" id="_x0000_i1033" src="https://files.constantcontact.com/4cd26bd1101/2ff58a7e-0f34-4bd5-9280-48c6a72ed9b8.png?rdr=true"></span></a><o:p></o:p></p>
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<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0pyrfIIvHjKEpXEC4zMyD3ZvBIKrsf8SSV2BYEv7ST_p8325GiyucnMu2pHjsBUhYwJwKPFZBGaGF2TKMFUgC-9wT4hYdDrIi5MZ7XPALguGkBdSF7Arq1tWS97n4v6UPfHn1iTUmV2YNN1ZRFCjp7vr3u7GIJlTn4xk4vu5ocgu_l1Al_FFR54V-4wh9V-q4S2k63F5axykaRsvreUFtbY=&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><b><span style="font-size:18.0pt;font-family:"Segoe UI",sans-serif;color:#C42128;text-decoration:none">Grand
 Rounds: Prenatal and Postpartum Care for People Experiencing SUDs</span></b></a><o:p></o:p></span></p>
<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p> </o:p></span></p>
<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0pyrfIIvHjKEpXEC4zMyD3ZvBIKrsf8SSV2BYEv7ST_p8325GiyucnMu2pHjsBUhYwJwKPFZBGaGF2TKMFUgC-9wT4hYdDrIi5MZ7XPALguGkBdSF7Arq1tWS97n4v6UPfHn1iTUmV2YNN1ZRFCjp7vr3u7GIJlTn4xk4vu5ocgu_l1Al_FFR54V-4wh9V-q4S2k63F5axykaRsvreUFtbY=&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><b><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#368A9C">Join></span></b></a></span><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#0E101A">
 this month's Grand Rounds session </span><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#141827">on <b>August 15 @ 12pm PT.
</b>This session will<b> </b>focus on prenatal and postpartum care for AI/AN people experiencing substance use disorders. Presenters will share cases, best practices, and upcoming opportunities for I/T/U clinics. </span><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#414040">Free
 CE will be available.</span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
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<span style="color:white"><img border="0" width="5" height="1" style="width:.0486in;height:.0069in" id="_x0000_i1032" src="https://imgssl.constantcontact.com/letters/images/1101116784221/S.gif"></span><o:p></o:p></p>
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<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0rI7LN10cHIF-DmLTirxVk8fCAoC2gwLpKJAy3Vv-Vv4rTJN3q-7bAgPe1QFW6-WISP4WWcPt9hZ_0E1DhRkd3Ya0HkaYTctk7nFm0W5FGc_7ZN2O643RKSLKQEJ1o8Kl9D8UgaaRTtbZvcCHTYaMjk=&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><b><span style="font-size:18.0pt;font-family:"Segoe UI",sans-serif;color:#C42128;text-decoration:none">Syphilis
 Community Education Materials</span></b></a><o:p></o:p></span></p>
<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p> </o:p></span></p>
<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0ls-Ew9D5tchVcoNblUjFlbgKnkls3n48uPOTGksOuwfMbXtI33SrgYjqmSpW-Dn3nen0EBdjy15vZQL38p6EexvQy2LR2Q1zQ==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><b><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#368A9C">Get></span></b></a></span><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#0E101A">
 free community education materials on syphilis created by the Northwest Portland Area Indian Health Board from
</span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0rI7LN10cHIFqyxljSXNnY44Ej_x4RK-VA12gfkRuK58qOKIdAXQjdVsvoK7Psp_UQWuj_pPIo3xo6Js2WmP-NdHKdorqn0GXA==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><b><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#368A9C">www.stopsyphilis.org</span></b></a></span><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#0E101A">.</span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
<p><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#0E101A">  </span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
<p><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#0E101A">Use the link above to order print materials or download digital materials for
<b>free! </b></span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
<p><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#0E101A"> </span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
<p><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#0E101A">Please share the link with others.</span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
<p><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#0E101A"> </span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
<p><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#0E101A">For questions contact: </span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><a href="mailto:aedwards@npaihb.org" target="_blank"><b><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#368A9C">aedwards@npaihb.org</span></b></a></span><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#0E101A">.  </span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0rI7LN10cHIF-DmLTirxVk8fCAoC2gwLpKJAy3Vv-Vv4rTJN3q-7bAgPe1QFW6-WISP4WWcPt9hZ_0E1DhRkd3Ya0HkaYTctk7nFm0W5FGc_7ZN2O643RKSLKQEJ1o8Kl9D8UgaaRTtbZvcCHTYaMjk=&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw=="><span style="text-decoration:none"><img border="0" width="280" height="280" style="width:2.9166in;height:2.9166in" id="_x0000_i1031" src="https://files.constantcontact.com/4cd26bd1101/9071db82-a492-470f-8ffa-4cf91ff1b3b5.png?rdr=true"></span></a><o:p></o:p></p>
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<h1 align="center" style="margin:0in;text-align:center"><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:#717A80"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0qtcbU_qAM9qlxZ-PxGjaJvu1RJWcI_UPIYXX9OuOwnF4b6QaXVzqW4ZEe5Rfn2NsioG08m1U0DIM0eMHqaiMi0xehdWSp6m-y5GhcRgfGqqFecFMhn6bEWCzx6EGmhu6w==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><span style="font-size:27.0pt;font-family:"Segoe UI",sans-serif;color:white;text-decoration:none">Upcoming
 Trainings</span></a><o:p></o:p></span></h1>
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<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0kTQGcRqAamYxgYi-Lb9VWYM7_3kE3Uwt0BzMyciJ_195nLa-4NaEeCv1sHJ6UuZKVVbTYphUje-GXDcKuEgnnbMLS-yi16x11Mit8bB1j7FlfO27qp-i5PMAaNR6HUTHOIJSxv9hiI8&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><b><span style="font-size:18.0pt;font-family:"Segoe UI",sans-serif;color:#C42128;text-decoration:none">Ending
 the Syndemic: HIV and PrEP</span></b></a><o:p></o:p></span></p>
<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p> </o:p></span></p>
<p><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#403F42">Join this free virtual training on
<b>August 24, 2023 @ 9am PT</b>. </span><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#414040">The program will focus on the rationale for HIV care & PrEP, HIV screening and diagnosis, indications and contraindications for PrEP and PEP,
 HIV treatment basics, how to start PrEP, case management, and addressing complications.
</span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p> </o:p></span></p>
<p><span class="ql-cursor"><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#414040"></span></span><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#414040">Free CE is available.</span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><o:p> </o:p></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0kTQGcRqAamYxgYi-Lb9VWYM7_3kE3Uwt0BzMyciJ_195nLa-4NaEeCv1sHJ6UuZKVVbTYphUje-GXDcKuEgnnbMLS-yi16x11Mit8bB1j7FlfO27qp-i5PMAaNR6HUTHOIJSxv9hiI8&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw=="><b><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:white;text-decoration:none">Learn
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<p class="MsoNormal" align="center" style="text-align:center"><span style="display:none"><o:p> </o:p></span></p>
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<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%">
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<p class="MsoNormal" align="center" style="text-align:center;mso-line-height-alt:7.5pt">
 <o:p></o:p></p>
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<p class="MsoNormal" align="center" style="text-align:center"><o:p> </o:p></p>
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%;width:inherit;border-radius: 0px;border-spacing: 0">
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<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%">
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<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" style="background:#F59A1F">
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<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0qtcbU_qAM9qlxZ-PxGjaJvu1RJWcI_UPIYXX9OuOwnF4b6QaXVzqW4ZEe5Rfn2NsioG08m1U0DIM0eMHqaiMi0xehdWSp6m-y5GhcRgfGqqFecFMhn6bEWCzx6EGmhu6w==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw=="><b><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:white;text-decoration:none">Training
 Center</span></b></a> </span><o:p></o:p></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="display:none"><o:p> </o:p></span></p>
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 <o:p></o:p></p>
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<p class="MsoNormal" align="center" style="text-align:center"><o:p> </o:p></p>
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%;background:#008797">
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<td width="100%" valign="top" style="width:100.0%;padding:0in 0in 0in 0in">
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%">
<tbody>
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<td valign="top" style="padding:7.5pt 15.0pt 7.5pt 15.0pt">
<h1 align="center" style="margin:0in;text-align:center"><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:#717A80"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0g_rNu7ti3Gvl0189FBGcHaan0U68Ee-IDIqLe0e0kzAwT7-oBudLEbKituedp6J1jDsnHikN5DG6sDrtmXPvJ6y4lFQJZ7joBOoQmY29j-PHPINLFdLhKTQNaI21hjZb4Z25t936hHbdkxaQ2irFrU=&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><span style="font-size:27.0pt;font-family:"Segoe UI",sans-serif;color:white;text-decoration:none">Substance
 Use Disorder</span></a><o:p></o:p></span></h1>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="display:none"><o:p> </o:p></span></p>
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<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%">
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<p class="MsoNormal" align="center" style="text-align:center"><o:p> </o:p></p>
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<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%">
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<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%">
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<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0rI7LN10cHIFz-xT-OuJrj00OhJZzoEPngayGrPpJkW7ek6t-99FVBQ5_cyl3E1NgS3aJcVtEf4FcNKHnOam2d3F54LqWNBEbiWlZD3sejwX0vhbHeOiwnCh_lCjLF1aNpXge6jF4CaVUDjU4zNjN00_YUUHpy7uVfABQ1aOoAvsB7Gb_QTl-yBwNVLvc_shZw==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><b><span style="font-size:18.0pt;font-family:"Segoe UI",sans-serif;color:#C42128;text-decoration:none">Buprenorphine
 Training</span></b></a><o:p></o:p></span></p>
<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p> </o:p></span></p>
<p><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#403F42">Attend a free buprenorphine training on
<b>August 18, 2023 @ 8am PT </b>to fulfill the training requirement for DEA-licensed practitioners on the treatment and management of patients with substance use disorders.</span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
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<td width="50%" valign="top" style="width:50.0%;padding:0in 0in 0in 0in">
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%">
<tbody>
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<td valign="top" style="padding:7.5pt 0in 7.5pt 0in">
<p class="MsoNormal" align="center" style="text-align:center"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0rI7LN10cHIFz-xT-OuJrj00OhJZzoEPngayGrPpJkW7ek6t-99FVBQ5_cyl3E1NgS3aJcVtEf4FcNKHnOam2d3F54LqWNBEbiWlZD3sejwX0vhbHeOiwnCh_lCjLF1aNpXge6jF4CaVUDjU4zNjN00_YUUHpy7uVfABQ1aOoAvsB7Gb_QTl-yBwNVLvc_shZw==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw=="><span style="text-decoration:none"><img border="0" width="280" height="280" style="width:2.9166in;height:2.9166in" id="_x0000_i1029" src="https://files.constantcontact.com/4cd26bd1101/30fc0a1f-2886-4d3b-931b-f030a199906b.jpg?rdr=true"></span></a><o:p></o:p></p>
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</div>
<p class="MsoNormal" align="center" style="text-align:center"><o:p> </o:p></p>
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%;width:inherit;border-radius: 0px;border-spacing: 0">
<tbody>
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<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%">
<tbody>
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<td style="padding:7.5pt 15.0pt 7.5pt 15.0pt">
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" style="background:#F59A1F">
<tbody>
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<td style="padding:7.5pt 30.0pt 7.5pt 30.0pt">
<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0rI7LN10cHIFz-xT-OuJrj00OhJZzoEPngayGrPpJkW7ek6t-99FVBQ5_cyl3E1NgS3aJcVtEf4FcNKHnOam2d3F54LqWNBEbiWlZD3sejwX0vhbHeOiwnCh_lCjLF1aNpXge6jF4CaVUDjU4zNjN00_YUUHpy7uVfABQ1aOoAvsB7Gb_QTl-yBwNVLvc_shZw==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw=="><b><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:white;text-decoration:none">Learn
 More</span></b></a> </span><o:p></o:p></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="display:none"><o:p> </o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center;mso-line-height-alt:7.5pt">
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<p class="MsoNormal" align="center" style="text-align:center"><o:p> </o:p></p>
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<td valign="top" style="padding:7.5pt 7.5pt 7.5pt 15.0pt">
<p class="MsoNormal" align="center" style="text-align:center"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0rI7LN10cHIFj9XLTxMgV0C_N_G3zfbefeOVzk5KjeaaCK9edz918JGKs6A1ihp3hIxKQ3q5ecDIi70Am2I09IAeynDjbtkJJfKCRQYpdfwS536OgaBQweEsJy77SX8ejRbB6qnN-YJvVMHBbByhXEUzWrjCpDoi7VnHSjPoZ6SVt5IXso--WKxDIyvBNXszHA==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw=="><span style="text-decoration:none"><img border="0" width="280" height="363" style="width:2.9166in;height:3.7777in" id="_x0000_i1028" src="https://files.constantcontact.com/4cd26bd1101/a226c49d-6eef-434d-af52-dba6fb09248e.png?rdr=true"></span></a><o:p></o:p></p>
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<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%">
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<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0rUARvfo56d6nP5q9m10-9E-7x65Ccng2qEdL9QgN4uEG0WKPmWpTUbzD5wEOP5JdB6Rz7PApC9f_Wugb4-mud-NZ0_MKyY776CSo5XpuStNOiXgTZBC7bmUrWwNu10kcTCUbbmyZPoN&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><b><span style="font-size:18.0pt;font-family:"Segoe UI",sans-serif;color:#C42128;text-decoration:none">Register
 Now: National Tribal Opioid Summit</span></b></a><o:p></o:p></span></p>
<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p> </o:p></span></p>
<p><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#403F42">On
<b>August 22-24, 2023</b>, NPAIHB invites you to <b>Tulalip, WA</b> for the <b>National Tribal Opioid Summit</b>. Partner with NPAIHB, Tribal nations, federal and state policy makers, and national and regional Tribal organizations to address the fentanyl crisis
 in our communities.</span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><o:p> </o:p></p>
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%;width:inherit;border-radius: 0px;border-spacing: 0">
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<td width="50%" valign="top" style="width:50.0%;padding:0in 0in 0in 0in">
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="100%" style="width:100.0%">
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<td style="padding:7.5pt 7.5pt 7.5pt 15.0pt">
<div align="center">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" style="background:#F59A1F">
<tbody>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0rUARvfo56d6nP5q9m10-9E-7x65Ccng2qEdL9QgN4uEG0WKPmWpTUbzD5wEOP5JdB6Rz7PApC9f_Wugb4-mud-NZ0_MKyY776CSo5XpuStNOiXgTZBC7bmUrWwNu10kcTCUbbmyZPoN&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw=="><b><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:white;text-decoration:none">Learn
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<p class="MsoNormal" align="center" style="text-align:center"><o:p> </o:p></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0g_rNu7ti3Gvl0189FBGcHaan0U68Ee-IDIqLe0e0kzAwT7-oBudLEbKituedp6J1jDsnHikN5DG6sDrtmXPvJ6y4lFQJZ7joBOoQmY29j-PHPINLFdLhKTQNaI21hjZb4Z25t936hHbdkxaQ2irFrU=&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw=="><b><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:white;text-decoration:none">Substance
 Use Disorder ECHO</span></b></a> </span><o:p></o:p></p>
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<h1 align="center" style="margin:0in;text-align:center"><span style="font-size:18.0pt;font-family:"Arial",sans-serif;color:#717A80"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0lZr_Z9n2iJ7EiA-CE7aPorAvS_-JU2mz-KcCdJ7_eEXP83RT1gDYP6RYmc-jnwGlDVff5I0sdcRaqO0YwI65E89CukUJT8Ev54N-8g1NtB8oCH1K_OBchhfH5-LUOpI2W8Y9dZni_u3YLA-isOp1jJPcbbSNi_Ceg==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><span style="font-size:27.0pt;font-family:"Segoe UI",sans-serif;color:white;text-decoration:none">Dermatology</span></a><o:p></o:p></span></h1>
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<p class="MsoNormal" align="center" style="text-align:center"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0rI7LN10cHIFBv56j8tgVx_59-1CSJNvVI4WkjsAkpMDpGRN6kNtKRzfllik_MWvg8nCZF1zoqtD-jpCSDuxNmR-B1p46eb7dq2cjIqOWv5u9ih5xxd75glb8QndYJMw1OLlAb_9hKm9DorXBS_PMKIP7tcXmtBEN2GoE9kmzLHd8n0YKeMKKlpthOLKFld5Zw==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw=="><span style="text-decoration:none"><img border="0" width="280" height="362" style="width:2.9166in;height:3.7708in" id="_x0000_i1027" src="https://files.constantcontact.com/4cd26bd1101/ba6aa3bd-df96-4a72-aac3-4399cd5661a7.png?rdr=true"></span></a><o:p></o:p></p>
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<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0lZr_Z9n2iJ7EiA-CE7aPorAvS_-JU2mz-KcCdJ7_eEXP83RT1gDYP6RYmc-jnwGlDVff5I0sdcRaqO0YwI65E89CukUJT8Ev54N-8g1NtB8oCH1K_OBchhfH5-LUOpI2W8Y9dZni_u3YLA-isOp1jJPcbbSNi_Ceg==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw==" target="_blank"><b><span style="font-size:18.0pt;font-family:"Segoe UI",sans-serif;color:#C42128;text-decoration:none">Dermatology
 ECHO Starting August 15</span></b></a><o:p></o:p></span></p>
<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p> </o:p></span></p>
<p><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#1A191A">Join the new Indian Country Dermatology ECHO on
<b>August 15 @ 3pm </b>PT, then continuing regularly on the <b>3rd Tuesday of every month</b>. CE will be provided.</span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
<p><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p> </o:p></span></p>
<p><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:#414040">The program will offer a free collaborative focused on diagnosis and treatment of dermatologic diseases, including chronic wound management, rashes, psoriasis, skin cancer and
 more.</span><span style="font-size:9.0pt;font-family:"Arial",sans-serif;color:#403F42"><o:p></o:p></span></p>
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<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0rI7LN10cHIFBv56j8tgVx_59-1CSJNvVI4WkjsAkpMDpGRN6kNtKRzfllik_MWvg8nCZF1zoqtD-jpCSDuxNmR-B1p46eb7dq2cjIqOWv5u9ih5xxd75glb8QndYJMw1OLlAb_9hKm9DorXBS_PMKIP7tcXmtBEN2GoE9kmzLHd8n0YKeMKKlpthOLKFld5Zw==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw=="><b><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:white;text-decoration:none">Learn
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<p class="MsoNormal" align="center" style="text-align:center"><span style="color:black"><a href="https://r20.rs6.net/tn.jsp?f=001Rj9suiSgRmwFuzDLFVt8sAHiRi-oQyQuihUOrLZiHck8nvfn6Lco0lZr_Z9n2iJ7EiA-CE7aPorAvS_-JU2mz-KcCdJ7_eEXP83RT1gDYP6RYmc-jnwGlDVff5I0sdcRaqO0YwI65E89CukUJT8Ev54N-8g1NtB8oCH1K_OBchhfH5-LUOpI2W8Y9dZni_u3YLA-isOp1jJPcbbSNi_Ceg==&c=vlVzyp6HUNML1R7tnmPHAgG8df51UqxWDuEPW4huRz-P_ytX_qNScw==&ch=80wuHB5ab-wKuLsdY-brA0n13zVE0gxEiyFdtoJuuOfcNK7a1H8nGw=="><b><span style="font-size:12.0pt;font-family:"Segoe UI",sans-serif;color:white;text-decoration:none">Dermatology
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 Success Stories</span></b></a><o:p></o:p></span></p>
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